Guillermo E Brachetta MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F5845 Issued in TX

Legal business name

GUILLERMO E BRACHETTA MD PA

Practice address

2300 W Michigan Ave Ste 1
Midland, TX 79701-5855

Phone

(432) 687-0181

Fax

(432) 687-1003

NPI assigned

May 4, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Guillermo E Brachetta, MDPA

Title

Owner

Phone

(432) 687-0181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1497047708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MICHIGAN AVE STE 1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015855",
            "telephone_number": "432-687-0181",
            "fax_number": "432-687-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MICHIGAN AVE STE 1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015855",
            "telephone_number": "432-687-0181",
            "fax_number": "432-687-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO E BRACHETTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "BRACHETTA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-687-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDPA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "F5845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034852601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alva R Guebara, RN
• Ana Guerrero, LPC
• Linda M Guerrero, PA-C
• Guiding Heart Counseling, LLC
• Kieston Guidry
• Angelo Carlo Guinto
• Frank Gung
• Gupta and Gupta Pediatrics MD PA
• Shaily Gupta, D.D.S.
• Kamaljeet Gurone

• Surgery Physician in Midland, TX
• Providers in Midland, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.